GEHA will perform system maintenance on Sunday (January 20) from 4-6 p.m. Eastern time. Portions of this website might not be available during this time. We apologize for any inconvenience.
Revocation of Authorization to Disclose Protected Health Information Form
GEHA health plan, Connection Dental Plus® and/or Connection Vision® powered by EyeMed members and dependents may use this form to revoke or remove an authorization for disclosure of protected health information.